JPH0464334A - Blood pressure measuring apparatus - Google Patents

Blood pressure measuring apparatus

Info

Publication number
JPH0464334A
JPH0464334A JP2176158A JP17615890A JPH0464334A JP H0464334 A JPH0464334 A JP H0464334A JP 2176158 A JP2176158 A JP 2176158A JP 17615890 A JP17615890 A JP 17615890A JP H0464334 A JPH0464334 A JP H0464334A
Authority
JP
Japan
Prior art keywords
blood pressure
heart
pressure
value
hydrostatic
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Pending
Application number
JP2176158A
Other languages
Japanese (ja)
Inventor
Masabumi Sengoku
千石 正文
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
UEDA SEISAKUSHO KK
Canon Medtech Supply Corp
Original Assignee
UEDA SEISAKUSHO KK
Elquest Corp
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by UEDA SEISAKUSHO KK, Elquest Corp filed Critical UEDA SEISAKUSHO KK
Priority to JP2176158A priority Critical patent/JPH0464334A/en
Priority to DE69119306T priority patent/DE69119306D1/en
Priority to EP19910401809 priority patent/EP0465345B1/en
Publication of JPH0464334A publication Critical patent/JPH0464334A/en
Pending legal-status Critical Current

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  • Measuring Pulse, Heart Rate, Blood Pressure Or Blood Flow (AREA)

Abstract

PURPOSE:To obtain a correct blood pressure value regardless of a pressure blood measuring part by including an arithmetic means which detects a hydrostatic pressure difference between the blood pressure measuring part and a heart part to add the hydrostatic pressure difference detected to or subtract it from a measured blood pressure value at the blood pressure measuring part based on a positional relation between the blood pressure measuring part and the heart part. CONSTITUTION:A data processing section 9 performs a specified computation based on data supplied to calculate a maximum blood pressure, an average blood pressure, a minimum blood pressure, number of pulses and the like. In this case, the data processing section 9 subtracts a hydrostatic pressure difference between a hand finger base and a heart part obtained with a pressure sensor 19 from a blood pressure value at the hand finger base as calculated from a cuff and bag pressure based on an output of a phototransistor 18 to correct measuring errors due to a height difference between the hand finger base and the heart part. Here, as the hand finger base is lower than the heart part, a higher value is obtained than a blood pressure value obtained by measurement thereby obtaining a blood pressure value at the heart part with the subtraction of the hydrostatic water pressure difference from the value.

Description

【発明の詳細な説明】 「産業上の利用分野」 この発明は、血圧測定装置に係わり、特に正確な血圧値
が得られる血圧測定装置に関する。
DETAILED DESCRIPTION OF THE INVENTION "Field of Industrial Application" The present invention relates to a blood pressure measuring device, and particularly to a blood pressure measuring device that can obtain accurate blood pressure values.

「従来の技術」 元来、血圧とは、心臓部(大動脈部)における血圧を言
うが、直接これらの部位における血圧測定は物理的に困
難であるため、従来は一般的に頭部、上腕部、腹部、大
腿部および手指部なとの各部(ひにおけろ血圧を測定し
ている。
``Prior Art'' Originally, blood pressure refers to blood pressure at the heart (aorta), but since it is physically difficult to directly measure blood pressure at these locations, conventional techniques generally refer to blood pressure at the head or upper arm. Blood pressure is measured in various parts of the body, including the abdomen, thighs, and fingers.

1発明か解決しようとする課題」 ところて、心tllffiとの位置差か大きい、頭部、
大腿部、手指部などの部位では約20〜80mmJ−1
g(25〜l OOcm)の誤差が生じることかあるの
で、従来は、−船釣に心臓部と同一の位置にある上腕部
で血圧測定を行っている。しかしながら、この部位にお
いて得られる血圧値は、心臓部との生理的較差や渡体力
学的較差は別にしても、体位(立位、横臥位、仰臥位等
)により異なった値になる。
1 Invention or Problem to be Solved" By the way, there is a big difference in position between the head and the heart,
Approximately 20 to 80 mmJ-1 for areas such as thighs and fingers
Conventionally, blood pressure is measured at the upper arm, which is located at the same position as the heart, when fishing on a boat. However, the blood pressure value obtained at this site differs depending on the body position (standing position, lying position, supine position, etc.), apart from the physiological difference and transbody mechanical difference with respect to the heart.

この発明はこのような事情に鑑みてなされf二もので、
血圧測定部位を問わず正確な血圧値か得られる血圧測定
装置を提供することを目的としている。
This invention was made in view of these circumstances,
It is an object of the present invention to provide a blood pressure measuring device that can obtain accurate blood pressure values regardless of the blood pressure measurement site.

「課題を解決するための手段」 この発明は、血圧測定部位と心臓部との間の静水圧差を
検出する静水圧差検出手段と、前記血圧測定部位と心臓
部との位置関係に基づいて前記静水圧差検出手段により
検出されろ静水圧差を前記血圧測定部位における血圧測
定値に対して加算ま1こは減算する演算手段とを具備す
ることを特徴とする。
"Means for Solving the Problems" The present invention is based on a hydrostatic pressure difference detection means for detecting a hydrostatic pressure difference between a blood pressure measurement site and the heart, and a positional relationship between the blood pressure measurement site and the heart. It is characterized by comprising a calculation means for adding or subtracting the hydrostatic pressure difference detected by the hydrostatic pressure difference detection means from the blood pressure measurement value at the blood pressure measurement site.

「作用 」 」二記構成によれば、静水圧差検出手段により、心臓部
と血圧測定部位との静水圧差が検出され、この検出結果
が演算手段により、測定部位での血圧測定値に加算また
は減算される。
According to the configuration described in ``Effect'', the hydrostatic pressure difference detection means detects the hydrostatic pressure difference between the heart region and the blood pressure measurement site, and this detection result is added to the blood pressure measurement value at the measurement site by the calculation means. or subtracted.

したがって、心臓部以外の部位において血圧測定を行っ
ても心臓部における血圧値が得られる。
Therefore, even if blood pressure is measured at a site other than the heart, the blood pressure value at the heart can be obtained.

「実施例」 以下、図面を参照してこの発明の実施例について説明す
る。
"Embodiments" Hereinafter, embodiments of the present invention will be described with reference to the drawings.

第1図はこの発明の一実施例による血圧測定装置1の外
観を示す斜視図である。この図に示すように血圧測定装
置1は、装置本体2と、カフ部3と、胸部ユニット4と
から構成されており、光電容積脈波法を利用した容積振
動法により、血圧計測と脈拍計測を行い、その計測結果
から最高血圧、平均血圧、最低血圧および脈拍数を算出
し、6算出結果を表示器にて数値表示するととしに、プ
リンタに印字するものである。
FIG. 1 is a perspective view showing the appearance of a blood pressure measuring device 1 according to an embodiment of the present invention. As shown in this figure, the blood pressure measuring device 1 is composed of a device body 2, a cuff part 3, and a chest unit 4, and uses a volume vibration method using photoplethysmography to measure blood pressure and pulse rate. The system calculates the systolic blood pressure, mean blood pressure, diastolic blood pressure, and pulse rate from the measurement results, and displays the six calculation results numerically on a display and prints them on a printer.

ここで、第2図を参照して血圧測定装置lの詳細につい
て説明する。
Here, details of the blood pressure measuring device 1 will be explained with reference to FIG. 2.

装置本体2は、カフ圧ライン5を介してカフ部3へ空気
を送出するためのカフ圧部6と、装置各部を制御すると
ともに、カフ部3から供給される各種信号を読込み、デ
インタルのデータに変換して出力する制御部7と、各種
データ(体重、身長、性別等)を入力するための入力部
8と、制御部7から出力される各種データに基づいて最
高血圧、平均血圧、最低血圧および脈拍数等を求めるデ
ータ処理部9と、このデータ処理部9から出力される各
位を印字するプリンタ10と、制御部7とデータ処理部
9から出力される各種データを表示するデータモニタ1
1と、装置各部へ電源を供給する電源部12とを有して
構成されている。上記制御部7は、図示什ぬCPU(中
央処理装置)、ROM(リードオンリメモリ)、RAM
(ランダムアクセスメモリ)およびインタフェース等を
有して構成されており、ROMにはCPUを制御するた
めのプログラムか書込まれている。
The device main body 2 controls a cuff pressure section 6 for sending air to the cuff section 3 via a cuff pressure line 5 and other parts of the device, reads various signals supplied from the cuff section 3, and records digital data. an input unit 8 for inputting various data (weight, height, gender, etc.), and a control unit 7 for converting and outputting data such as systolic blood pressure, average blood pressure, and minimum blood pressure based on the various data output from the control unit 7. A data processing unit 9 that calculates blood pressure, pulse rate, etc., a printer 10 that prints out various information output from the data processing unit 9, and a data monitor 1 that displays various data output from the control unit 7 and the data processing unit 9.
1, and a power supply unit 12 that supplies power to each part of the apparatus. The control unit 7 includes a CPU (central processing unit), a ROM (read only memory), and a RAM (not shown).
(Random Access Memory), an interface, etc., and a program for controlling the CPU is written in the ROM.

カフ部3は、図示のように手指基部を固定するための略
円筒形状の固定部15と、この固定部15の内側に取付
けられる圧迫用カフ16と、固定部15の内側上部に取
付けられるLED(発光素子)17と、このLEDl7
に対向して固定部15の内側下部に取付けられるフォト
トランジスタ(受光素子)18と、圧力センサ19と、
フォトトランジスタ18の出力と圧力センサ19の出力
をぞれぞれ別個に増幅する増幅器20を有して構成され
ている。この場合、増幅器20はその増幅率を任意に可
変できるようになっており、これにより圧力センサ19
の感度を調整することができる。
As shown in the figure, the cuff part 3 includes a substantially cylindrical fixing part 15 for fixing the base of the finger, a compression cuff 16 attached to the inside of the fixing part 15, and an LED attached to the upper inner side of the fixing part 15. (Light emitting element) 17 and this LEDl7
a phototransistor (light-receiving element) 18 attached to the inner lower part of the fixed part 15 opposite to the pressure sensor 19;
It is configured to include an amplifier 20 that separately amplifies the output of the phototransistor 18 and the output of the pressure sensor 19. In this case, the amplification factor of the amplifier 20 can be arbitrarily varied, so that the pressure sensor 19
The sensitivity can be adjusted.

LED + 7とフォトトランジスタ18は、上述した
容積振動法に基づいて血圧と脈拍の検出に使用されるも
のである。この場合、LEDl、7は装置本体2の制御
部7て点灯制御され、フォトトランジスタ18は同制御
部7で出力制御される。また、圧力センサ19は、後述
する胸部ユニット4から印加される圧力を検出するもの
である。
The LED + 7 and the phototransistor 18 are used to detect blood pressure and pulse rate based on the volume vibration method described above. In this case, the lighting of the LEDs 1 and 7 is controlled by the control unit 7 of the device main body 2, and the output of the phototransistor 18 is controlled by the control unit 7. Moreover, the pressure sensor 19 detects the pressure applied from the chest unit 4, which will be described later.

胸部ユニット4は、第3図に示すように、その下部4a
がテーパ状に形成された円筒状になりおり、上部4bが
ネジ式に取外し自在になっている。
As shown in FIG. 3, the chest unit 4 has a lower part 4a.
It has a tapered cylindrical shape, and the upper part 4b is removable with a screw.

この場合、上部4bは胸部ユニット4内に液体(水また
は油等)を注入するために取外し自在になっている。胸
部ユニット4の下端は開口しており、上端は図示のよう
に空気孔4cを除いて閉口している。空気孔4cには、
液漏れ防止用の弁(図示略)が取付けられている。胸部
ユニット4の下端には、チューブ21の一端が接続され
ており、チューブ21の他端は第2図に示すように圧ノ
コセンサ19の検出端に接続されている。また、胸部ユ
ニット4の上部4bには同ユニット4を衣服の胸ポケッ
ト等に係止するための係止部材4dが取付けられている
。この場合、係止部材4dは胸部ユニット本体に対して
垂直方向に回動自在になっており、常に同ユニット本体
を垂直方向に向けることかできるようになっている。こ
の胸部ユニット4を胸ポケット等の心臓か位置する部分
に係止することにより、心臓から手指基部までの高さに
応した圧力か圧力センサ19の検出面に印加される。
In this case, the upper part 4b is removable in order to inject liquid (water, oil, etc.) into the chest unit 4. The lower end of the chest unit 4 is open, and the upper end is closed except for the air hole 4c as shown. In the air hole 4c,
A valve (not shown) is installed to prevent liquid leakage. One end of a tube 21 is connected to the lower end of the chest unit 4, and the other end of the tube 21 is connected to a detection end of a pressure saw sensor 19, as shown in FIG. Furthermore, a locking member 4d is attached to the upper part 4b of the chest unit 4 for locking the unit 4 to a chest pocket of clothing or the like. In this case, the locking member 4d is rotatable in the vertical direction with respect to the chest unit body, so that the unit body can always be oriented vertically. By locking this chest unit 4 to a portion such as a chest pocket where the heart is located, a pressure corresponding to the height from the heart to the base of the finger is applied to the detection surface of the pressure sensor 19.

このように構成された血圧測定装置において、胸部ユニ
ット4を胸ポケットに係止した後、同ユニット4の上部
4bを外し、液面が心臓の位置になるまで液体を注入す
る。次いて、圧力センサ19の感度を液体の比重と血液
の比重の比に応じた感度に設定する。次に、カフ部3に
手指を挿入する。そして図示せぬ測定開始スイッチをオ
ン状にする。これにより、圧迫用カフ16に空気か供給
され、手指基部が圧迫される。この際、フォトトランジ
スタ18の出力が増幅器20で増幅されるとともに、圧
力センサ19の出力が同増幅器20にて増幅される。そ
して、増幅された各出力が制御部7に供給され、各々デ
ィジタルデータに変換された後、データ処理部9に供給
される。データ処理部9は供給された各データに基づい
て所定の演算を行って最高血圧、平均血圧、最低血圧お
よび脈拍数等を算出する。この場合、データ処理部9は
、フィートトランジスタ18の出力に基づいてカフ圧よ
り算出した手指基部における血圧値に、圧カセンザ19
により得られる手指基部と心臓部との静水圧差を減算し
、手指基部と心臓部との高低差による測定誤差の補正を
行う。この場合、手指基部は心臓部より低位置にあるの
で、測定により得られる血圧値より高い値か得られるの
で、この値から静水圧差を減算することにより、心臓部
における血圧値が得られる。
In the blood pressure measuring device configured as described above, after the chest unit 4 is locked in the chest pocket, the upper part 4b of the unit 4 is removed, and liquid is injected until the liquid level reaches the position of the heart. Next, the sensitivity of the pressure sensor 19 is set to a sensitivity corresponding to the ratio of the specific gravity of the liquid to the specific gravity of blood. Next, insert your fingers into the cuff portion 3. Then, a measurement start switch (not shown) is turned on. As a result, air is supplied to the compression cuff 16, and the base of the finger is compressed. At this time, the output of the phototransistor 18 is amplified by the amplifier 20, and the output of the pressure sensor 19 is amplified by the amplifier 20. The amplified outputs are then supplied to the control section 7, converted into digital data, and then supplied to the data processing section 9. The data processing unit 9 performs predetermined calculations based on the supplied data to calculate systolic blood pressure, mean blood pressure, diastolic blood pressure, pulse rate, etc. In this case, the data processing unit 9 uses the pressure sensor 19 to add the blood pressure value at the base of the finger calculated from the cuff pressure based on the output of the foot transistor 18.
The difference in hydrostatic pressure between the base of the finger and the heart obtained by this method is subtracted to correct the measurement error due to the height difference between the base of the finger and the heart. In this case, since the base of the finger is located at a lower position than the heart, a value higher than the blood pressure value obtained by measurement can be obtained. By subtracting the hydrostatic pressure difference from this value, the blood pressure value at the heart can be obtained.

なお、上記実施例においては、測定部位を手指基部にし
たが、様々な部位に対応させた形状のカフ部を用意すれ
ば、各部位に対応した血圧値を求めることができる。こ
の場合、心臓部よりも低い部位を測定部位に選んだ場合
は上述した手指基部のように、その部位と心臓部との静
水圧差を測定により得られる血圧値に加算する。逆に、
心11部よりも高い部位を測定部位に選んた場合は、そ
の部位と心臓部との静水圧差を測定により得られる血圧
値から減算する。
In the above embodiments, the measurement site was the base of the finger, but if cuff sections with shapes corresponding to various sites are prepared, blood pressure values corresponding to each site can be determined. In this case, if a site lower than the heart is selected as the measurement site, like the base of the finger described above, the hydrostatic pressure difference between that site and the heart is added to the blood pressure value obtained by measurement. vice versa,
If a region higher than the heart 11 is selected as the measurement region, the hydrostatic pressure difference between that region and the heart is subtracted from the blood pressure value obtained by measurement.

また、上記実施例においては、発光素子とじてLEDI
7を用い、受光素子18としてフt ) トランジスタ
18を用いたか、その他、発光素子として他ランプか使
用可能であり、受光素子としてはフォトダイオード、C
D5(カドニウムセル)等が使用可能である。
In addition, in the above embodiment, the light emitting element is LED
It is possible to use the transistor 18 as the light receiving element 18, or other lamps as the light emitting element, and as the light receiving element, a photodiode, C
D5 (cadmium cell) etc. can be used.

また、上記実施例の他の実施例として、静水圧差検出用
媒体を血液と同等の比重の液体を使用し、また圧力セン
サとして差圧式圧力センサを使用すれば、上述した実施
例のように加減算処理を行わなくても、常に静水圧差を
補正しながら血圧測定ができる。
In addition, as another embodiment of the above embodiment, if a liquid with a specific gravity equivalent to that of blood is used as the medium for detecting the hydrostatic pressure difference, and a differential pressure type pressure sensor is used as the pressure sensor, the same as in the above embodiment can be obtained. Blood pressure can be measured while always correcting the hydrostatic pressure difference without performing addition/subtraction processing.

「発明の効果」 以上説明したように、この発明による血圧測定装置によ
れば、血圧測定部位と心臓部との静水圧差を検出し、こ
の静水圧差を血圧測定部位と心臓部との位置関係に基づ
いて測定部位により得られる血圧値に加算または減算す
る上うにしたので、血圧測定部位の心臓部からの高低差
による測定誤差を無くすことができ、正確な血圧値を得
ることかできる。
"Effects of the Invention" As explained above, the blood pressure measuring device according to the present invention detects the hydrostatic pressure difference between the blood pressure measurement site and the heart, and uses this hydrostatic pressure difference between the blood pressure measurement site and the heart. Since the blood pressure value is added to or subtracted from the blood pressure value obtained from the measurement site based on the relationship, measurement errors due to differences in height of the blood pressure measurement site from the heart can be eliminated, and accurate blood pressure values can be obtained.

【図面の簡単な説明】[Brief explanation of the drawing]

第1図はこの発明の一実施例による血圧測定装置の外観
を示す斜視図、第2図は同装置の概略構成を示すブロッ
ク図、第3図は同装置を構成する胸部ユニットの外観を
示す斜視図である。 2 ・・装置本体、3・ 4・・・・・・胸部ユニット、 I9 ・・圧力センサ、 21−  チューブ。 ・カフ部、 7・・・制御部、 20 ・・増幅部、
FIG. 1 is a perspective view showing the external appearance of a blood pressure measuring device according to an embodiment of the present invention, FIG. 2 is a block diagram showing the schematic configuration of the device, and FIG. 3 is an external view of a chest unit constituting the device. FIG. 2... Device body, 3. 4... Chest unit, I9... Pressure sensor, 21- tube. - Cuff part, 7... Control part, 20... Amplification part,

Claims (1)

【特許請求の範囲】 血圧測定部位と心臓部との間の静水圧差を検出する静水
圧差検出手段と、 前記血圧測定部位と心臓部との位置関係に基づいて前記
静水圧差検出手段により検出される静水圧差を前記血圧
測定部位における血圧測定値に対して加算または減算す
る演算手段と を具備することを特徴とする血圧測定装置。
[Scope of Claims] Hydrostatic pressure difference detection means for detecting a hydrostatic pressure difference between a blood pressure measurement site and the heart; and a hydrostatic pressure difference detection means for detecting a hydrostatic pressure difference between the blood pressure measurement site and the heart. A blood pressure measuring device comprising: arithmetic means for adding or subtracting a detected hydrostatic pressure difference to or from a blood pressure measurement value at the blood pressure measurement site.
JP2176158A 1990-07-03 1990-07-03 Blood pressure measuring apparatus Pending JPH0464334A (en)

Priority Applications (3)

Application Number Priority Date Filing Date Title
JP2176158A JPH0464334A (en) 1990-07-03 1990-07-03 Blood pressure measuring apparatus
DE69119306T DE69119306D1 (en) 1990-07-03 1991-07-02 Sphygmomanometer
EP19910401809 EP0465345B1 (en) 1990-07-03 1991-07-02 Blood pressure measuring apparatus

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
JP2176158A JPH0464334A (en) 1990-07-03 1990-07-03 Blood pressure measuring apparatus

Publications (1)

Publication Number Publication Date
JPH0464334A true JPH0464334A (en) 1992-02-28

Family

ID=16008680

Family Applications (1)

Application Number Title Priority Date Filing Date
JP2176158A Pending JPH0464334A (en) 1990-07-03 1990-07-03 Blood pressure measuring apparatus

Country Status (1)

Country Link
JP (1) JPH0464334A (en)

Cited By (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2001024845A3 (en) * 1999-10-07 2001-06-07 Alexander K Mills Method and apparatus for non-invasive continuous determination of physiological parameters of a patient's blood
KR100383459B1 (en) * 2000-01-19 2003-05-12 시원테크 주식회사 Apparatus for measuring accelerated plethymogram
US8700511B2 (en) 2010-05-10 2014-04-15 Panasonic Corporation Control device, charge storage system, control method, and computer program
WO2020012999A1 (en) * 2018-07-12 2020-01-16 オムロンヘルスケア株式会社 Blood pressure measurement device, method, and program
JP2020010967A (en) * 2018-07-20 2020-01-23 オムロンヘルスケア株式会社 Blood pressure measuring device and cuff unit
JP2020510500A (en) * 2017-02-06 2020-04-09 グノトリックス, エルエルシー Apparatus and method for sensing patient condition such as anatomical location and apparatus and method for controlling patient application

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JPS6368133A (en) * 1986-09-09 1988-03-28 コ−リン電子株式会社 Method and apparatus for compensating position of transducer of blood pressure monitor apparatus

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WO2001024845A3 (en) * 1999-10-07 2001-06-07 Alexander K Mills Method and apparatus for non-invasive continuous determination of physiological parameters of a patient's blood
AU766952B2 (en) * 1999-10-07 2003-10-30 Alexander K. Mills Device and method for noninvasive continuous determination of physiologic characteristics
KR100383459B1 (en) * 2000-01-19 2003-05-12 시원테크 주식회사 Apparatus for measuring accelerated plethymogram
US8700511B2 (en) 2010-05-10 2014-04-15 Panasonic Corporation Control device, charge storage system, control method, and computer program
JP2020510500A (en) * 2017-02-06 2020-04-09 グノトリックス, エルエルシー Apparatus and method for sensing patient condition such as anatomical location and apparatus and method for controlling patient application
US11672432B2 (en) 2017-02-06 2023-06-13 Gnotrix, Llc Apparatus and methods of sensing a patient condition, such as anatomy position, and of controlling patient applications
WO2020012999A1 (en) * 2018-07-12 2020-01-16 オムロンヘルスケア株式会社 Blood pressure measurement device, method, and program
JP2020010967A (en) * 2018-07-20 2020-01-23 オムロンヘルスケア株式会社 Blood pressure measuring device and cuff unit
WO2020017301A1 (en) * 2018-07-20 2020-01-23 オムロンヘルスケア株式会社 Blood pressure measurement device and cuff unit

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